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CAROLINA ASC LLC
NPI 1487400636
Clinic/Center - Ambulatory Surgical in Greenville, SC

Active since April 29, 2024CLIA 42D2328094 · Waiver
110 CHALMERS RD UNIT A, GREENVILLE, SC 29605(864) 977-8200(864) 527-3700 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2026, Sep 8, 2025, Apr 29, 2024 (3 updates tracked since 2024).

About Carolina Asc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA ASC LLC (NPI 1487400636) is a healthcare organization registered as an ambulatory surgical in Greenville, South Carolina and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Kathryn Kohara, Cfo, as its authorized official.

NPPES Registry Identity

NPI1487400636
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCAROLINA ASC LLC
Location Address110 CHALMERS RD UNIT AGreenville, SC 29605-1363
Mailing Address203 Mills AveGreenville, SC 29605-4019 · (864) 271-1844 · Fax (864) 271-2147
Phone(864) 977-8200
Fax(864) 527-3700
Organization SubpartNo
Authorized OfficialKathryn KoharaCfo · (864) 271-1844
Enumeration DateApril 29, 2024
Last NPPES UpdateMay 15, 20263 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1487400636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
110 CHALMERS RD UNIT A, Greenville, SC 29605
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2328094

Carolina ASC, LLC · Greenville, SC
Active · expires Aug 4, 2027
CLIA Number42D2328094
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorMatthew Graham
Laboratory Phone(864) 977-8200
Laboratory LocationCarolina ASC, LLC110 Chalmers Rd Ste A, Greenville, SC 29605
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina ASC LLC's NPI number?

The NPI number for Carolina ASC LLC is 1487400636. It was assigned to this organization in the NPPES registry on April 29, 2024.

Where is Carolina ASC LLC located?

Carolina ASC LLC is located at 110 Chalmers Rd Unit A, Greenville, SC 29605. The listed phone number is (864) 977-8200.

What is Carolina ASC LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Carolina ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2328094) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolina ASC LLC was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.